Protozoa Flashcards
single-celled eukaryotes (organisms whose cells have
nuclei) that commonly show characteristics usually
associated with animals, most notably mobility and
heterotrophy
Protozoa
move by means of locomotory organelles that arise from
the _____
ectoplasm
locomotory organelle or parasitic amoeba
Pseudopods
only pathogenic amoeba
Entamoeba histolytica
pathogenic and free-living protozoa
- Naegleria fowleri
- Acanthamoeba spp.
- Balamuthia mandillaris
protozoa named by Schaudin
Entamoeba histolytica
progressive motility with hyaline, fingerlike
pseudopods
-rapid progressive undirectinal
Entamoeba histolytica
karyosome: small, central and delicate nuclear
karyosomal chromatin
Entamoeba histolytica
Stages of development for protozoa
Trophozoites and cysts
peripheral chromatin: fine, evenly distributed peripheral chromatin
Entamoeba histolytica
Entamoeba histolytica inclusions (troph)
- Ingested red blood cell
- Charcot-Leyden crystals
-Charcot-Leyden crystals stained with trichrome stain)
bright red
karyosome of E. histolytica
Small and central
Entamoeba histolytica inclusions (cyst)
chromatoidal bars: cigar shaped
chromatoidal bodies on trichrome: bright red
C.bodies in iodine: do not stain
-Diffuse glycogen mass in trichrome is colorless
MOT of Entamoeba histolytica
: ingestion of food or water contaminated by
cysts of the organism
feeding stage
motile
liquid watery stools
not stained by Iodine
Trophozoite
nonfeeding, nonmotile, formed stool
stained by iodine
Cyst
Amoeba that are not intestinal dwellers
E. gingivalis (mouth)
Acanthamoeba
Naegleria
amoeba that does not undergo encystation
E. gingivalis
infective stage of amoeba
cysts
diagnostic stage
cyst and troph
infections by E. histolytica
Liver abscess
Amoebic pericarditis
cutaneous amoebiasis
genital amoebiasis
caharacteristic of intestinal amoebiasis of E. histolytica
FLASK SHAPE ULCER
ANCHOVY SAUCE LIKE
liver abscess in E. histolytica
B. VIRULENT FACTORS of E. histolytica
- Gal/Gal Nac lectin: cytoadherence
- Amebapores: poreformers
- Cysteine proteinase: tissue invasiveness
lab diagnosis of E. histolytica
- Direct Fecal Smear
- Liver aspiration biopsy
- Culture – Non-nutrient agar seeded with E. coli
- Serologic test (SREHP)
- Concentration test
- Radiographic non-invasive techniques:
X-ray/MRI/CT scan
stain for troph
Quensel’s methylene blue
Stains for troph and cyst
Best carmine stain
trichrome stain
Iron hematoxylin stain
what to do if e first examination is negative.
If possible,
three specimens passed at intervals of 2-3 days
should be examined.
Good preservation of morphology of protozoan
trophozoites and cysts
• Easy preparation of permanent stained smears
Schauddinn’s fixative
Iodine and concentration techniques destroy
Trophozoites
Stool must be transported in the laboratory in room
temperature within
1 hour
is an
environment-friendly stool preservative that is useful for
amebic trophozoites
SAF (Sodium acetate-Acetic Acid-Formalin)
Lugol’s iodine
cyst diagnosis
sluggish, nonprogressive motility
Entamoeba coli
Entamoeba coli karyosome
eccentrically located
Entamoeba coli inclusion
vacuole containing bacteria
witch broom stick appearance of diffuse glycogen mass
nuclei of Entamoeba coli cysts
1 - 8
E. histolytica cyst nuclei
1 - 4
nonprogressive motility
E. hartmanni
E. hartmanni cyst nuclei
1 - 4
E. hartmanni cytoplasmic inclusion
Diffuse glycogen mass
CONCENTRATION TECHNIQUES
- Formalin-ether (or ethyl acetate) concentration technique
- Acid-ether concentration technique
- Zinc sulfate centrifugal flotation
- Brine’s flotation
- Sheather’s flotation
Preferred for concentrating coccidian oocysts
like those of Isospora and Cryptosporidium
Sheather’s flotation
Brine’s floatation Uses saturated salt solution with a specific
gravity of ____
1.28
SG of ZnSO4 in Zinc sulfate centrifugal flotation
1.18
specific gravity must be adjusted to ____ when using formalin preservative in ZnSO4 technique
1.120
Recommended for animal parasites, Trichuris,
Capillaria and Schistosoma eggs
Acid-ether concentration technique
40% HCl serves as clearing agent
Acid-ether concentration technique
Good preservation of helminth eggs, larvae and
protozoan cysts; sediments can be stored for
long period of time
Formalin-ether (or ethyl acetate) concentration technique
in Formalin-ether (or ethyl acetate) concentration technique, what is formalin’s action?
as preservative
in Formalin-ether (or ethyl acetate) concentration technique, what is ether’s action?
fat removal
witch broom stick appearance of diffuse glycogen inclusion
E. coli
E. hartmanni is distinguished from E. histolytica by ____
size
“cross-eyed cyst”, QUADRINUCLEATE cyst
Endolimax nana
: large glycogen vacuole (stains with IODINE) cyst
Iodamoeba butschlii
E. hartmanni inclusions
ingested bacteria
Cyst with one (1) nuclei (uninucleated)
Entamoeba poleckii
Iodamoeba butschlii
Entamoeba poleckii inclusion
ingested bacteria and food particles
endolimax nana inclusion
bacteria but not within
Blot-like appearance of karyosome
E. nana
*centrally, large & irregular
Iodine loving amoeba (cyst)
Iodamoeba butschlii
progressive sluggish motility
Iodamoeba butschlii
amoeba with no cyst
Entamoeba gingivalis
Active motility
Entamoeba gingivalis
cytoplasmic inclusions of Entamoeba gingivalis
food vacuoles containing WBC
Primary Amoebic Meningoencephalitis
Naegleria fowleri
blunt like pseudopodia with sluggish motility
Naegleria fowleri
has 3 known morphologic forms
Naegleria fowleri
Naegleria fowleri 3 known morphologic forms
1) Amoeboid trophozoite
2) Flagellate
3) Cyst
Smears of CSF are prepared from _____ for N. fowleri
CSF sediment
The stains used for Naegleria and Acanthamoeba are
H&E
and Wright’s stain.
MOT of Naegleria
: intranasal (enters mucosal
membranes)
Acanthamoeba (Hartmannella) castellani MOT
amebae probably spread directly to the meninges
from the nasopharynx
exhibits double-walled cysts
with an outer wrinkled wall and an inner polygonal wall.
Acanthamoeba castellani
Culture media: rhesus monkey, rabbit, calf, or human
kidney cells in medium 199 with 2% calf serum, and
antibiotics added
Acanthamoeba
wearing contact lenses
Acanthamoeba
Acanthamoeba clinical significance
GAE (Granulomatous Amebic Encephalitis)
• Acanthamoeba keratitis
spinelike pseudopods and sluggish motility
Acanthamoeba
Specimen of choice for Acanthamoeba
CSF
Brain tissue
corneal scrapings
the only pathogenic ciliate of man.
Balantidium coli
Largest protozoan parasite of man
Balantidium coli
Cyst has a kidney- or bean-shaped macronucleus for _____, ; a spherical micronucleus for _____
vegetation (feeding); reproduction (sexual stage)
Trophozoite is surrounded with cilia and exhibits
s thrownball motility
B. coli MOT
ingestion of food or water
contaminated with fecal material
often infested
with Balantidium coli
Pigs and various species of monkeys
B. coli cyst excyst in ____; troph _____
Small intestine; large intestine
B. coli troph invades intestinal epithelium and secretes enzyme _____
Hyaluronidase
balantidiasis is Differentiated from amoebic dysentery
does not spread to extraintestinal sites
Acute diarrhea with mucus and blood, cramps
-Complications include intestinal perforation and acute
appendicitis
balantidiasis
A straminophile previously classified as a fungus or
protozoan
Blastocystis hominis
Blastocystis hominis habitat
Small intestine
Blastocystis hominis MOT
: ingestion of vacuolated form
specimen of choice for the recovery of
Blastocystis
STOOL
often mistaken for cyst of amoeba
Blastocystis hominis
B. hominis infections indicated that they occurred as
______ in subtropical countries
EPIDEMIC
Blastocystis hominis infection
- diarrhea, vomiting, nausea, fever as well as abdominal pain and
cramping
Microsporidia spores are released from
stool,
respiratory secretions
and urine of infected animals.
microsporidia habitat
Small intestine
MOT of microsporidia
ingestion or inhalation of
microsporidian spores
Stain for MIcrosporidia
Modified Trichrome stain
Disease association of microsporidia
diarrheal disease among
immunocompromised patients